3城市感染HIV MSM的多性伴状况及其影响因素分析

发布时间：2018-03-14 01:12

本文选题：艾滋病病毒抗体阳性　切入点：男男性行为者　出处：《中国艾滋病性病》2017年08期 　论文类型：期刊论文

【摘要】：目的调查艾滋病病毒(HIV)抗体阳性男男性行为者(MSM)拥有多性伴的状况,分析其影响因素,为完善相应艾滋病干预策略提供依据。方法在成都、重庆和广州市,采用"滚雪球"方法招募经男男性行为途径感染HIV者作为调查对象,进行电子问卷调查。调查内容包括社会人口学特征、健康状况、最近6个月的性行为和性伴种类、性伴告知状况和性感觉评分等。采用χ~2检验、t检验和非条件Logistic回归分别进行单因素和多因素分析。结果共调查HIV抗体阳性MSM 501人,其中20.6%(103人)报告最近6个月拥有2个及以上性伴(包括同性性伴和异性性伴),拥有两种类型的男性性伴(固定性伴、偶然性伴或商业性伴)的比例为39.8%(41/103),拥有女性性伴的比例为22.3%(23/103)。多因素Logistic回归分析结果显示,在婚、离异或丧偶,高中及以下文化,最近6个月有男性固定性伴、男性偶然或商业性伴、群交行为,将自己的HIV感染状况未告知全部固定性伴,性行为时饮酒、使用烷基亚硝酸盐和较高的性感觉评分,均与拥有多性伴密切关联。结论 HIV阳性MSM拥有多性伴状况普遍存在,多个性伴和多种类型性伴构成了"继续传播网络",因而急需完善性伴干预策略,以遏制HIV阳性MSM在同性和异性性伴间的继续传播。
[Abstract]:Objective to investigate the status of MSMs having multiple sexual partners in HIV-positive men, to analyze the influencing factors and to provide evidence for the improvement of HIV / AIDS intervention strategies in Chengdu, Chongqing and Guangzhou. People infected with HIV through male sexual behavior were recruited by "snowball" method to conduct an electronic questionnaire survey. The survey included social demographic characteristics, health status, sexual behaviour and sex partner types in the last 6 months. Using 蠂 ~ 2 test and unconditioned Logistic regression, univariate and multivariate analysis were carried out respectively. Results A total of 501 HIV antibody positive MSM patients were investigated. Of these, 20.6 / 103 reported having two or more sexual partners (including same-sex and heterosexual partners) and two types of male sexual partners (fixed partners) in the last six months. The proportion of accidental partners or commercial partners was 39.8% and the proportion of female sex partners was 22.3% / 103%. Multivariate Logistic regression analysis showed that in marriage, divorce or widowhood, high school and below culture, there were male sex partners in the last six months. Men who had casual or commercial sexual intercourse did not tell all of their fixed partners about their HIV infection, drank alcohol during sex, used alkyl nitrite and had a higher sexual sensation score. Conclusion the status of HIV positive MSM with multiple sexual partners is common, and multiple personality partners and multiple types of sexual partners constitute "continuous transmission network", so it is urgent to improve the intervention strategy of sexual partners. In order to curb the HIV positive MSM in the same sex and heterosexual partners continue to spread.
【作者单位】：安徽医科大学公共卫生学院流行病与卫生统计学系;成都同乐健康咨询服务中心;
【基金】：中国全球基金艾滋病项目(CBO-SR-2012-研7)~~
【分类号】：R512.91

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